Analysis of the Depression Status and Its Influencing Factors in Middle-Aged and Elderly Patients with Comorbid Hy-pertension,Diabetes,and Dyslipidemia:Based on Evidence from the 2020 CHARLS
Chen Ran
He Daikun
Li Jun
Abstract：OBJECTIVE To analyze the prevalence of depressive symptoms and associated influencing factors among mid-dle-aged and elderly patients with comorbid hypertension,diabetes,and dyslipidemia("three high").METHODS Utilizing data from the fifth wave(2020)of the China Health and Retirement Longitudinal Study(CHARLS),it selected participants aged≥45 years concurrently diagnosed with hypertension,diabetes,and dyslipidemia.The prevalence rate of depressive symptoms was calcu-lated,and multivariate logistic regression analysis was employed to identify independent risk factors.RESULTS A total of 751 eligi-ble participants were included,with a depressive symptom prevalence rate of 46.07％.The results of multi-factor logistic regression analysis showed that living in rural areas and having limitations in activities of daily living were risk factors for depression.Sleep du-ration ≥6 hours,being male,and having a high self-rated health status were protective factors against depression.CONCLUSION The detection rate of depression in middle-aged and elderly patients with comorbid"three highs"in China is relatively high.It is necessary to strengthen the assessment of depressive symptoms in this group,focusing on middle-aged and elderly patients with"three highs"comorbidities in rural areas,short sleep time and impaired ability to live,and taking targeted measures to ensure their mental health.
Keywords：middle-aged and elderlydepressive symptomscomorbidityinfluencing factors
Publication Date：2025-11-10
Online Publishing Date：2026-01-13(First online date of this platform, not the publication date of the document)
Pages：4( 67-70 )